Key points:
- Pigment can sit in the epidermis (more treatment-responsive) or the dermis (more persistent)
- Melasma is hormonally influenced and prone to recurrence — it is managed, not cured
- Post-inflammatory hyperpigmentation can be triggered by treatment itself if settings are not matched to skin type
Why Pigmentation Is Not One Problem
Melanocytes overproduce pigment in response to several different triggers — UV exposure, inflammation, and hormonal signalling among them. Because the triggers differ, so does the appropriate response. A treatment that clears sun spots effectively may do little for melasma, and an overly aggressive approach can worsen pigmentation in melanin-rich skin by triggering a post-inflammatory response.
How Depth Changes the Answer
Epidermal pigment sits close to the surface and generally responds more readily. Dermal pigment sits deeper and needs energy that reaches that layer without excessive surface disruption. Assessment establishes which you have before any treatment is selected.
Treatments Used at IN Eternity Clinic
Depending on assessment, pigmentation may be addressed with pico laser for pigment fragmentation, R2 Glow Laser for brightening and toning, or a combined protocol. Read our full pigmentation guide for the detail.
What Matters More Than the Device
Fitzpatrick skin type directly changes which settings are safe and effective. In a population spanning a wide range of skin tones, matching the wavelength and energy to your specific skin is what separates a good outcome from a worsened one.
Frequently Asked Questions
Sun-induced pigmentation often responds well and can stay clear with sun protection. Melasma is hormonally influenced and tends to recur, so it is managed over time rather than permanently resolved.
This can occur when treatment triggers inflammation, leading to post-inflammatory hyperpigmentation — a particular risk in melanin-rich skin when settings are not appropriately calibrated.
This depends on pigment type, depth and severity, and is reviewed as treatment progresses rather than fixed at the outset.